Special Edition - CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th

54 years ago President Lyndon B. Johnson signed Medicare into law. The final rule will be published in the Federal Register on August 7th, 2019 with an effective date of Oct 1, 2019 for our new PDPM model.



The final rule hits on three major provisions:

1. SNF payment policy under the new PPS – PDPM

  • MBI of 2.4% (2.8% with the .4% MFP adjustment)

  • Updated Urban and Rural Unadjusted base rate for PDPM

Urban: PT $60.75 OT $56.55 SLP $22.68 Nursing $105.92 NTA $79.91

Non Case Mix $94.84

Rural: PT $69.25 OT $63.60 SLP $28.57 Nursing $101.20 NTA $76.34

Non Case Mix $96.59

  • Table 6 and 7 have the updated Case Mix Index’ per Case Mix Group (attached) – we are in the process of updating our materials accordingly

2. SNF Value Based Purchasing – VBP

3. SNF Quality Reporting Program – QRP


Let's Get to the Point:

CMS released the preliminary PDPM final rule on Medicare’s birthday, July 30th

Contact

Social

  • White LinkedIn Icon
  • White Facebook Icon
  • Instagram
  • White Twitter Icon

Contact

800.506.6925

4949 Westgrove Drive  |  Suite 200  |  Dallas, TX  |  75248

Legal

4949

©2018 Quality Rehab Management